Practice Question
The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?
Answer Choices:
Correct Answer:
Increased restlessness
Rationale:
🔷 Restlessness is a potential early sign of hypoxia, hemorrhage, or pain, especially in post-op clients.
🔷 It often precedes other vital sign changes, making it a critical early clinical indicator.
🔷 The nurse must assess for oxygenation, bleeding, or neurologic complications.
🔷 While vital signs and bowel sounds are part of routine post-op monitoring, behavioral changes may indicate deterioration.
🔷 Prompt action ensures early detection of post-op complications.
Want to practice more questions like this?
This question is from RN ATI Mental Health(Cohort 2)-N200 Exam which contains 65 questions.
More Questions from This Exam
A client diagnosed with Alzheimer's Disorder has impairments of memory and judgement and is incapable of performing activities of daily living. Which nursing intervention should take priority?
Answer Choices:
A. Assist the client with bathing and toileting.
B. Design a bulletin board to represent the current season.
C. Present evidence of objective reality to improve cognition.
D. Label the door to the clients room with name and number.
A client is diagnosed with Alzheimer's disease. When asked about the previous evening, the client describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting?
Answer Choices:
A. Aphasia
B. Delirium
C. Apraxia
D. Confabulation
A client tells the nurse, "l feel bad because my mother does not want me to return home after I leave the hospital .Which nursing response is therapeutic?
Answer Choices:
A. "You feel that your mother does not want you to come back home?"
B. "It's quite common for clients to feel that way after a lengthy hospitalization."
C. "Why don’t you talk to your mother? You may find out she doesn't feel that way."
D. "Your mother seems like an understanding person. Ill help you approach her."
A nurse working in a mental health unit reviews therapeutic and non-therapeutic communication techniques with a student nurse. All of the following are therapeutic communication techniques except:
Answer Choices:
A. Restating.
B. maintaining neutral responses.
C. Listening.
D. Asking the client, "Why?"
The nurse is assessing an inpatient client with a known history of violence. The client suddenly displays clenched fists. What additional behavior by the client would suggest that the aggression is escalating? The client:
Answer Choices:
A. refuses to eat lunch.
B. requests prn medications.
C. is pacing around the milieu.
D. sits in a group with their peers.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 5
Was this question helpful?
0/5 average rating
(0 votes)